Active NPI
Edward Valkov, M.D.
- Psychiatry Physician
- Wheat Ridge, CO
National Provider Identifier
1043283955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C148173
- Practice address
- 3400 Lutheran Pkwy
Wheat Ridge, CO 80033-6035 - Phone
- (303) 467-4000
- NPI assigned
- Feb 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 49632 | CO | |
| Psychiatry Physician | 2084P0800X | C148173 | CA | Primary |
Addresses
Primary practice location
3400 Lutheran Pkwy
Wheat Ridge, CO 80033-6035
Mailing address
3400 Lutheran Pkwy
Wheat Ridge, CO 80033-6035
Phone (303) 467-4000
Other practice location 1
3255 Esplanade
Chico, CA 95973-0255
Phone (530) 899-3150
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA509705 | Other | CA | MEDICARE |
| 8043302 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1304 Ella St
Suite B
San Luis Obispo, CA 93401-4166
Phone (805) 541-6000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49632 | CO | MD | Neurology Physician |
| C148173 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camden County Health Services Center | Past | Accepting new patients |
Interoperability endpoints
- edward.valkov.1@23821.direct.athenahealth.com
- evalkov30418@direct.sclhealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Pacific Psychiatry,Inc.
- Psychiatry Physician
- San Luis Obispo, CA
- NPI 1902317472
-
- Psychiatric Hospital
- Blackwood, NJ
- NPI 1578559340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643932800000",
"number": "1043283955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 LUTHERAN PKWY",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336035",
"telephone_number": "303-467-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 LUTHERAN PKWY",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336035",
"telephone_number": "303-467-4000"
}
],
"practiceLocations": [
{
"address_1": "3255 Esplanade",
"address_purpose": "LOCATION",
"city": "Chico",
"state": "CA",
"postal_code": "959730255",
"country_code": "US",
"telephone_number": "530-899-3150",
"fax_number": "530-899-3160",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VALKOV",
"first_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2022-02-04",
"certification_date": "2022-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CO",
"license": "49632",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C148173",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "CA509705",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8043302",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.